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“The Sandwich Generation is costing U.S.
Businesses $17.1 Billion to $33.6 Billion per year
in productivity for caregivers who take time from
their work responsibilities to provide care”	

Source: The Hidden Cost of Caregiving, Metlife Mature Market Institute, August 2006:
Definition:
Represents those who care
not only for their own children
but also act in a caregiver
role for their own parent(s).
The Sandwich Generation
Source: www.people.vcu.edu/~swharkin/swhpages/glossary.htm
“One out of every eight
Americans, ages 40 to
60, is raising a child
and caring for a parent
at home. On top of
that, seven to 10
million Americans are
caring for their aging
parents from a long
distance away.”
Source: http://pewresearch.org/assets/
social/pdf/release120805.pdf
Who is “The Sandwich Generation”?
“It is estimated that
American families
provide 80 to 90
percent of all in-home
long term care services
for their aging family
members, disabled
adult children and other
loved ones.”
Source: http://www.caregiver.com/
channels/rural/articles/
sandwich_generation.htm
The Sandwich Generation …
Is estimated to be 22% of the American
population.	

Is generally between the ages of 40 and 60.	

Is a significant part of the workforce.	

Are generally family members.	

Is nearly one-third male.
Decline in financial markets
Concerns of The Sandwich Generation
Increase in cost of care
Outliving their finances
Lifespan: late 80’s and 90’s
The Normal Aging Process
• Vision
• Hearing
• Reaction time
• Metabolism
• Taste buds
• Reflexes
• Memory
• Cardio-Vascular
• Diabetes
• Parkinson’s
• Dementia
• Alzheimer’s
• Cancer
• Falls and bone
fractures
At age 70,
onset of…
At age 65, risk
of…
Loss or
decrease in …
  With doctors
  Home Care
  Other geriatric
professionals
  Illnesses or hospitalization
  Other emergencies
  Financial Assistance
  Hands on care
  Transportation
  Banking
  Household
Daily living… Coordinating &
Managing…
What does this mean in the terms of
care giving?
HOW DOES THIS AFFECT
YOUR CLIENTS’ EMPLOYEES?
9
Meet Bob…..
Scenario #1 –
Beatrice is self-sufficient
•  Beatrice drives to her Mahjong game every day.
•  One day, Beatrice gets into a car accident.
•  Beatrice is hospitalized in critical care.
Services
EAP can
offer
Identify Geriatric Care Management
companies
• Crisis Intervention
• Advocacy/Retention
What does Bob do now?
Scenario #2 –
Beatrice has serious health issues
•  Beatrice has been in the hospital for the past four months.
•  Prior to that, she was in and out of the hospital with various
illnesses.
•  Bob flies to Florida to see Mom.
Services
EAP can
offer
Identify Surrogate Family Member services
•  Provide assessment of medical situation
•  Oversee proper care
•  Provide necessary communication
•  Advocacy/Retention
What does Bob do now?
Scenario #3 –
Beatrice lives on her own, but is beginning to make
poor decisions.
•  Beatrice is beginning to be forgetful, has more medical
issues, and is no longer as self-sufficient.
Services
EAP can
offer
Identify Geriatric Care Management companies
•  Meet with Beatrice and identify issues
•  Communicate with family
•  Become Surrogate Family Member
•  Address issues on families behalf
•  Refer to Eldercare Professional
•  Advocacy/Retention
What does Bob do now?
How Do The Issues Facing
The Sandwich Generation Affect Your Clients?
The annual cost of employees with elder care
responsibilities to U.S. business according to
MetLife Mature Market Institute are:
$33.6B	

Absenteeism due to caring
responsibilities
Routine distractions & other
loss of productivity costs
Hiring and training new staff
Dealing with crisis during work
day
Implications of the Sandwich Generation on EAPs:
Examples of Services EAP can Provide
•  Referral list of network
providers
  Home Health Care
companies
  Geriatric Care Companies
  Geriatric Care Managers
  Local Agencies
  Other Specific Organizations
Benefit to employees with access to Eldercare
Assistance Programs:
“Rules of Thumb” for selecting an Elder Care
Professional
Summary
Concerns of The Sandwich Generation

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Concerns of The Sandwich Generation

  • 2. “The Sandwich Generation is costing U.S. Businesses $17.1 Billion to $33.6 Billion per year in productivity for caregivers who take time from their work responsibilities to provide care” Source: The Hidden Cost of Caregiving, Metlife Mature Market Institute, August 2006:
  • 3. Definition: Represents those who care not only for their own children but also act in a caregiver role for their own parent(s). The Sandwich Generation Source: www.people.vcu.edu/~swharkin/swhpages/glossary.htm
  • 4. “One out of every eight Americans, ages 40 to 60, is raising a child and caring for a parent at home. On top of that, seven to 10 million Americans are caring for their aging parents from a long distance away.” Source: http://pewresearch.org/assets/ social/pdf/release120805.pdf Who is “The Sandwich Generation”? “It is estimated that American families provide 80 to 90 percent of all in-home long term care services for their aging family members, disabled adult children and other loved ones.” Source: http://www.caregiver.com/ channels/rural/articles/ sandwich_generation.htm
  • 5. The Sandwich Generation … Is estimated to be 22% of the American population. Is generally between the ages of 40 and 60. Is a significant part of the workforce. Are generally family members. Is nearly one-third male.
  • 6. Decline in financial markets Concerns of The Sandwich Generation Increase in cost of care Outliving their finances Lifespan: late 80’s and 90’s
  • 7. The Normal Aging Process • Vision • Hearing • Reaction time • Metabolism • Taste buds • Reflexes • Memory • Cardio-Vascular • Diabetes • Parkinson’s • Dementia • Alzheimer’s • Cancer • Falls and bone fractures At age 70, onset of… At age 65, risk of… Loss or decrease in …
  • 8.   With doctors   Home Care   Other geriatric professionals   Illnesses or hospitalization   Other emergencies   Financial Assistance   Hands on care   Transportation   Banking   Household Daily living… Coordinating & Managing… What does this mean in the terms of care giving?
  • 9. HOW DOES THIS AFFECT YOUR CLIENTS’ EMPLOYEES? 9
  • 11. Scenario #1 – Beatrice is self-sufficient •  Beatrice drives to her Mahjong game every day. •  One day, Beatrice gets into a car accident. •  Beatrice is hospitalized in critical care. Services EAP can offer Identify Geriatric Care Management companies • Crisis Intervention • Advocacy/Retention What does Bob do now?
  • 12. Scenario #2 – Beatrice has serious health issues •  Beatrice has been in the hospital for the past four months. •  Prior to that, she was in and out of the hospital with various illnesses. •  Bob flies to Florida to see Mom. Services EAP can offer Identify Surrogate Family Member services •  Provide assessment of medical situation •  Oversee proper care •  Provide necessary communication •  Advocacy/Retention What does Bob do now?
  • 13. Scenario #3 – Beatrice lives on her own, but is beginning to make poor decisions. •  Beatrice is beginning to be forgetful, has more medical issues, and is no longer as self-sufficient. Services EAP can offer Identify Geriatric Care Management companies •  Meet with Beatrice and identify issues •  Communicate with family •  Become Surrogate Family Member •  Address issues on families behalf •  Refer to Eldercare Professional •  Advocacy/Retention What does Bob do now?
  • 14. How Do The Issues Facing The Sandwich Generation Affect Your Clients?
  • 15. The annual cost of employees with elder care responsibilities to U.S. business according to MetLife Mature Market Institute are: $33.6B Absenteeism due to caring responsibilities Routine distractions & other loss of productivity costs Hiring and training new staff Dealing with crisis during work day
  • 16. Implications of the Sandwich Generation on EAPs:
  • 17. Examples of Services EAP can Provide •  Referral list of network providers   Home Health Care companies   Geriatric Care Companies   Geriatric Care Managers   Local Agencies   Other Specific Organizations
  • 18. Benefit to employees with access to Eldercare Assistance Programs:
  • 19. “Rules of Thumb” for selecting an Elder Care Professional